What Is a Medicare Broker?

What Is a Medicare Broker?

A Medicare broker is a licensed professional who specializes in helping people navigate the sometimes complicated world of Medicare. Their main role is to assist you with choosing a Medicare plan that best suits your needs.  

But in reality, Medicare brokers do much more! Stick around, and we'll explore the many hats Medicare brokers wear.

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What Does a Medicare Broker Do?

When it comes to enrolling in Medicare, you have a few different options.

There's Original Medicare (Part A and Part B), private Medicare insurance plans like Medicare Advantage (Part C), Medicare Supplements, and Medicare Part D drug plans.

A Medicare broker works with those who want to enroll in one of these Medicare insurance options. They help you find the best plan for their individual health and financial situation.  

They make the process of choosing a plan much easier by walking you through the details of each plan, simplifying all the medical jargon, and breaking down the benefits, restrictions, and costs associated with each so you can make an informed decision.

In addition to that, brokers stay up-to-date on the latest changes and updates to the Medicare plans that are offered.

Plans are constantly evolving, and Medicare rules and regulations also change every year, which means what may work for you one year may not the next.

Medicare brokers stay on top of these changes to keep you informed.

What Is the Difference Between a Medicare Broker and a Medicare Agent?

Both Medicare brokers and Medicare agents sell private Medicare plans, which include Medicare Advantage, Medicare Supplement, and/or Medicare Part D drug plans.

And honestly, broker and agent are often used interchangeably. But there is a subtle difference:

  • A broker offers many plans, allowing their client to price shop different options
  • An agent may only offer one plan, especially if they work for a particular insurance company

Since a broker isn't tied to any single insurance company, they can recommend a wide range of plan options from multiple insurance carriers. That ensures you get access to the best possible coverage for your needs.

They will guide you through the selection process and help you weigh the pros and cons of each plan. Once you've selected the plan that's best for you, they'll help you complete the application and enrollment process.

A Medicare agent, on the other hand, may only represent one insurance company. This means their recommendations are limited to the plans offered by that company.

After all, if an agent works for an insurance company, why would they show you prices from the competition?

Why Work With a Medicare Broker?

So why should you work with a Medicare broker?

Here are a few things to consider:

  • Expert Guidance: Their extensive knowledge on all things Medicare allows them to provide clear explanations and answer all your questions so you fully understand your options.
  • Unbiased Recommendations: Brokers don't have ties to specific insurance companies, so their recommendations are unbiased.  
  • Comprehensive Comparison: Instead of searching through multiple insurance websites and plan documents, a broker consolidates this information for you by performing comprehensive plan comparisons.
  • Customized Solutions: Brokers take the time to understand your medical needs, budget, and preferences. With this in mind, they tailor their recommendations to match your individual situation.
  • Ongoing Support: Even after you've enrolled in a plan, a broker is on your team. The co-pays, deductibles, and premiums of Medicare plans change yearly, and your broker will help you stay up to date with changes so you can make sure your coverage doesn't slip through the cracks.
  • No Additional Cost: A Medicare broker comes at no extra cost to you, so, why wouldn't you want to work with one? That's right - it's free! Let us explain...

How Do Medicare Brokers Get Paid?

Medicare brokers get paid by the insurance company - not the consumer. Once the individual enrolls in a plan that the broker recommends, the insurance company pays them a commission for bringing the customer to them.  

There are no additional fees, and the rates for the plans are not higher if you use a Medicare broker to find the plan. It really does come at no additional cost to you.  

What to Look for in a Medicare Broker

When you're looking for a Medicare broker, experience matters. A dependable Medicare broker who's well-established in the space will bring a wealth of knowledge to the table.  

Communication matters, too. A good broker will actively listen to your preferences and healthcare needs, making you an active partner in the decision-making process.

You also want a broker who will actively communicate with you when there are changes in your plan or Medicare regulations.

Looking for a Trustworthy Medicare Broker?

Looking for a trustworthy Medicare broker? You've found us!

At Sams/Hockaday, we take an education-first approach. We want all our clients to be informed about the entire Medicare process so that when it comes time to enroll, you have a full understanding of what you are signing up for.

That's why we regularly host educational seminars at Sams Ranch to educate about the basics of Medicare and retirement.  

Your health and happiness are our priority, so reach out today to schedule an appointment with one of our dedicated Medicare brokers who will help guide you through the plans that are available in their area and help you choose the one that is the best fit for you.

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Disclaimer: We do not offer every plan available in your area. Currently we represent 4 organizations which offer 41 products in your area. Please contact, 1‑800‑MEDICARE, or your local State Health Insurance Program to get information on all of your options.